Side Effects of Ecps and Their Management

LNG Emergency Contraceptive Pills Module Handout #4

Side Effects of ECPs and Their Management

Side Effects of ECPs / Management of ECP Side Effects
Altered vaginal bleeding patterns / Most women who have used ECPs have their next menstrual period within 7 days of the expected time. Menstruation has been reported to occur an average of one day earlier than expected after the use of LNG ECPs. Some women experience irregular bleeding or spotting after taking ECPs. These alterations in bleeding patterns are not dangerous and will resolve without treatment. If there is a delay in menstruation of more than one week, a pregnancy test should be performed.
Nausea and vomiting / Nausea, rarely accompanied by vomiting, occurs in less than 20% of women using the LNG regimen. These symptoms are uncommon enough that the prophylactic administration of an antiemetic drug is not routinely warranted before ECP use. If vomiting occurs within 2-3 hours after taking an ECP dose, some experts recommend that the dose should be repeated. In cases of severe vomiting, the repeat dose of the pills may be administered vaginally.
Headache / Usually does not occur more than a few days after treatment and generally resolves within 24 hours. Aspirin or another non-prescription pain reliever can be used to reduce the discomfort.
Abdominal pain / Usually does not occur more than a few days after treatment and generally resolves within 24 hours. Aspirin or another non-prescription pain reliever can be used to reduce the discomfort.
Breast tenderness / Usually does not occur more than a few days after treatment and generally resolves within 24 hours. Aspirin or another non-prescription pain reliever can be used to reduce the discomfort.
Dizziness / Usually does not occur more than a few days after treatment and generally resolves within 24 hours.
Fatigue / Usually does not occur more than a few days after treatment and generally resolves within 24 hours.

Training Resource Package for Family Planning